Individual
MRS. DEBORAH JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25 LIBERTY ST, BATAVIA, NY 14020-3246
(585) 343-1840
Mailing address
2 WADE AVE, BATAVIA, NY 14020-3330
(716) 474-2206
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004015-1
NY
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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